TEAM IMPACT: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TEAM IMPACT (EIN 45-1837673)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-10
IRS object ID
201321309349300027
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-10T08:43:32-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042971374EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LMHS PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line180 WASHINGTON ST BUILDING SAddressLine1
CityNORWELLCity
StateMAState
ZIP Code02061ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN451837673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAM IMPACTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone6178010230Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK NO 5TH FLAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY J KELLYName
TitleTREASURERTitle
Phone6178010230Phone
Date Signed2013-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIMBERLY JO GAGNON CPAName
PTINP00583452PTIN
Phone7818789111Phone
Date Prepared2013-05-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL J WALSHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK NO 5TH FLAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Gross Receipts767167GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteGOTEAMIMPACT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR CHILDREN FACING ADVERSE ISSUE AND EVENTS BY ESTABLISHING AND EXPANDING VIBRANT TEAM-BASED SUPPORT NETWORKS. WE ENDEAVOR TO CONTINUALLY ENCOURAGE A WIDE RANGE OF TEAM-BASED ORGANIZATIONS TO OPEN UP THEIR RANKS AND EXTEND THEIR LAUGHTER, STRENGTH AND SUPPORT FOR CHILDREN FACING THESE ADVERSE ISSUES, AND EVENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year209272ContributionsGrantsPriorYear
Contributions Grants Current Year726699ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-1431InvestmentIncomePriorYear
Investment Income Current Year1196InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year207841TotalRevenuePriorYear
Total Revenue Current Year727895TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37230SalariesEtcPriorYear
Salaries Etc Current Year185201SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year76224OtherExpensePriorYear
Other Expenses Current Year281769OtherExpensesCurrentYear
Total Expenses Prior Year113454TotalExpensesPriorYear
Total Expenses Current Year466970TotalExpensesCurrentYear
Revenues Less Expenses Prior Year94387RevenuesLessExpensesPriorYear
Revenues Less Expenses CY260925RevenuesLessExpensesCY
Total Assets BOY96387TotalAssetsBOY
Total Assets EOY361382TotalAssetsEOY
Total Liabilities BOY2000TotalLiabilitiesBOY
Total Liabilities EOY6070TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY94387NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY355312NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE QUALITY OF LIFE FOR CHILDREN AND THEIR FAMILIES WHO ARE FIGHTING ADVERSE CHILDHOOD EVENTS (I.E. LIFE THREATENING DISEASES) BY CREATING UNPARALLELED TEAM-BASED SUPPORT SYSTEMS. TEAMS PROVIDE LOVE, SUPPORT, AND FRIENDSHIP TO THE CHILD FOR LIFE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense454869Expense
DescriptionEXPENSES ABOVE RELATE TO THE IDENTIFICATION AND EDUCATION OF THE MEDICAL COMMUNITY AND THE COLLEGIC ATHLETIC COMMUNITY ABOUT THE BENEFIT OF THE PROGRAM TO THESE CHILDREN AS WELL AS THE CASE MANAGEMENT PROCESS TO INSURE THAT EACH CHILD GETS THE MOST OUT OF THE MATCH.Description
Total Program Service Expense454869TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees6NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY J KELLY TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6178010230TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK 5TH FLOORAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN CALNAN
DIRECTOR5.00X000
KRIS HERMAN
DIRECTOR5.00X000
DAN KRAFT
DIRECTOR5.00X000
DAN WALSH
PRESIDENT20.00X000
TIM KELLY
TREASURER8.00X000
SCOTT TULLY
DIRECTOR2.00X000
MARK PLANSKY
DIRECTOR2.00X000
ROBERT TISHMAN
DIRECTOR2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions726699AllOtherContributions
Noncash Contributions44622NoncashContributions
Total Contributions726699TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63TotalRevenueColumn
Related Or Exempt Function Income63RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40405Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities39272Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1133Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1133TotalRevenueColumn
Related Or Exempt Function Income1133RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column727895TotalRevenueColumn
Related Or Exempt Function Income1196RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total172130Total
Program Services172130ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13071Total
Program Services13071ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5000Total
Management And General5000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2966Total
Management And General2966ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3439Total
Management And General3439ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total10630Total
Program Services10630ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total14336Total
Program Services14336ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIRECT COSTS240515240515
TELEPHONE CHARGES29252925
PRINTING760760
CONSULTING502502

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total696Total
Management And General696ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total466970Total
Program Services454869ProgramServices
Management And General12101ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY46078BOY
EOY305909EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY49441BOY
EOY40697EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY8850EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY868BOY
EOY868EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY5058EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY96387BOY
EOY361382EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2000BOY
EOY6070EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2000BOY
EOY6070EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY94387BOY
EOY355312EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94387BOY
EOY355312EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96387BOY
EOY361382EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses260925ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year209272CurrentTaxYearMinus1Year
Current Tax Year726699CurrentTaxYear
Total935971Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year209272CurrentTaxYearMinus1Year
Current Tax Year726699CurrentTaxYear
Total935971Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509935971PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year209272CurrentTaxYearMinus1Year
Current Tax Year726699CurrentTaxYear
Total935971Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt727895TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal727895RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990727895TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt466970TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal466970ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990466970TotalExpensesPerForm990

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99044622NoncashContribsRptdF990
Method Of Determining RevenuesFMV OF STOCK ON TRANSFERMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT AND FINANCE COMMITTEE WILL PROVIDE COPIES OF THE RETURN TO ALL BOARD MEMBERS FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE AUDIT AND FINANCE COMMITTEE.

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